Individual provider Active NPI

Kayla Lashae Keaton

  • Developmental Therapist
  • Tampa, FL
National Provider Identifier
1396223798
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
K350939030 Issued in FL
Practice address
5091 Florida Mining Blvd, Suite 102
Tampa, FL 33634
Phone
(813) 374-2070
Fax
(813) 337-0937
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X K350939030 FL Primary

Addresses

Primary practice location

5091 Florida Mining Blvd, Suite 102
Tampa, FL 33634

Mailing address

5091 Florida Mining Blvd, Suite 102
Tampa, FL 33634
Phone (813) 374-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
K350939030FLMDDevelopmental Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1396223798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 FLORIDA MINING BLVD, SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33634",
            "telephone_number": "813-374-2070",
            "fax_number": "813-337-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 FLORIDA MINING BLVD, SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33634",
            "telephone_number": "813-374-2070",
            "fax_number": "813-337-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "KAYLA",
        "middle_name": "LASHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "K350939030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.